Inspection Reports for GenCare Lifestyle Seattle at Ballard Landmark
5433 Leary Ave NW, Seattle, WA 98107, United States, WA, 98107
Back to Facility ProfileDeficiencies per Year
24
18
12
6
0
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 48
Deficiencies: 3
Apr 23, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 04/23/2025 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies related to resident assessments, pet immunizations, and tuberculosis testing were corrected.
Deficiencies (3)
| Description |
|---|
| Failure to ensure an assessment included use of a mobility device and safety risks associated with a bed side rail for Resident 2. |
| Failure to ensure a system was in place for 3 sample pets to be regularly seen by a veterinarian and certified free of diseases transmissible to humans. |
| Failure to ensure 1 of 3 newly hired sampled staff completed a two-step tuberculosis testing process. |
Report Facts
Residents at risk: 48
Sample size: 7
Sample pets: 3
Newly hired sampled staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sunny Kent | Licensor | Department staff who did the on-site verification and inspection. |
| Scottie Sindora | ALF Licensor | Department staff who did the on-site verification and inspection. |
| Jamie Singer | Field Manager | Signed the follow-up inspection letter and plan of correction. |
| Staff F | Executive Director | Acknowledged missing documentation and absence of second step TB test during interviews. |
| Staff D | Licensed Practical Nurse | Interviewed regarding bed side rail and accompanied Department Representative during inspection. |
| Staff A | Nursing Assistant | Newly hired staff whose TB testing was reviewed and found incomplete. |
Inspection Report
Life Safety
Deficiencies: 21
Nov 21, 2024
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Ballard Landmark Inn, a residential care facility, on 11/21/2024.
Findings
The inspection identified multiple fire safety violations including blocked electrical panels, grease accumulation requiring cleaning, missing fire sprinkler documentation, unmaintained fire extinguishers, inadequate exit sign illumination, and door hardware issues. The facility was disapproved due to these deficiencies.
Deficiencies (21)
| Description |
|---|
| Mobility scooters stored in exit corridors compromising means of egress |
| Storage blocking electrical panel RT5.1 |
| Hood exhaust ducting inaccessible, requiring corrective repairs |
| Hood cleaning required quarterly due to heavy grease accumulation |
| Excessive grease build-up and scorch marks on cooking equipment; grease traps not cleaned daily |
| Unable to provide last annual inspection of fire-resistant-rated construction assemblies and repair records |
| Unable to provide final service report for automatic and fusible link fire/smoke damper inspection and testing within past four years |
| Missing fire sprinkler system documentation including last annual forward flow test and 5-year inspections |
| Compliance engine reports failed to list fusible link rating; missing heat survey documentation for commercial hood |
| Fire extinguisher in Room 411 had broken tamper seal and pin was out of place |
| Fire extinguishers throughout facility failed to have monthly inspections since July 2024 |
| Found unmounted fire extinguisher in pool pump room |
| Exit sign by Room 411 failed to illuminate due to dead bulbs |
| Exit sign by Room 323 partially illuminated due to burnt bulb |
| Unable to provide documentation of 90-minute annual battery testing for emergency lighting and exit signs in past 12 months |
| Exit sign by Room 223 obstructed by beam, lowering hallway visibility |
| Door hardware release button in wellness hall exit vestibule failed to be obvious method of operation |
| Door to exit access vestibule missing exit sign above door; ceiling mounted directional exit sign mounted sideways impairing view |
| Ceiling mounted exit sign in main lobby failed to be visible from wellness and dining room hallways; signage relocation required |
| Corridor doors leading to mezzanine exceed allowed 1/16 inch center gap |
| Dining room exit door leading to stairs failed to self-close and latch when tested |
Report Facts
Next inspection scheduled date: Dec 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted inspection on 11/21/2024 |
| Lysandra Davis | Deputy State Fire Marshal | Signed inspection document |
| Angelo Abela | 1st Executive Director | Facility representative signing inspection documents |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 10
Oct 9, 2023
Visit Reason
The Department completed a full inspection and a complaint investigation of the Assisted Living Facility on 10/09/2023 after unannounced on-site visits on 09/27/2023 and 09/29/2023, triggered by complaint number 100216.
Findings
The facility was found not to meet Assisted Living Facility licensing requirements with multiple deficiencies including failure to complete required resident assessments, emergency preparedness plan deficiencies, privacy violations, incomplete staff training and screening, and inadequate negotiated service agreements. A follow-up inspection on 12/07/2023 found no deficiencies, indicating corrections were made.
Complaint Details
Complaint investigation triggered by complaint number 100216. The complaint investigation was substantiated with multiple deficiencies found.
Deficiencies (10)
| Description |
|---|
| Failure to complete full assessments for residents within required timeframes, placing residents at risk of injury and unmet care needs. |
| Failure to develop and maintain an emergency preparedness plan, placing 47 residents and staff at risk during disasters. |
| Failure to ensure privacy and confidentiality by displaying confidential resident information in a public location. |
| Failure to complete pre-admission assessments for sampled residents, placing residents at risk for inappropriate care. |
| Failure to ensure tuberculosis screening for sample staff within three days of employment, placing residents at risk of exposure. |
| Failure to ensure national fingerprint background checks for sample staff, placing residents at risk from staff with unknown criminal backgrounds. |
| Failure to ensure specialized dementia and mental health training for sample staff, placing residents at risk of harm from untrained care staff. |
| Failure to ensure electronic monitoring evaluation, consent, and documentation for a resident with a video camera in her apartment, risking violation of privacy. |
| Failure to complete negotiated service agreements clearly defining roles and responsibilities for family medication assistance and private caregivers for sampled residents. |
| Failure to complete ongoing assessments for residents, including skin issues, placing residents at risk for unmet health needs. |
Report Facts
Residents present during inspection: 47
Days to complete correction: 45
Sampled residents for assessments: 9
Sampled staff for tuberculosis screening: 6
Sampled staff for fingerprint background check: 6
Sampled staff for dementia training: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Singer | Field Manager | Signed multiple letters related to inspection findings and enforcement actions. |
| Faith Le | NCI | Department staff who conducted the on-site verification and inspection. |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who conducted the on-site verification and inspection. |
| Staff G | Wellness Director | Interviewed regarding resident assessments, bed rails, electronic monitoring, and resident care. |
| Staff A | Executive Director | Interviewed regarding emergency preparedness and confidentiality violations. |
| Staff F | Certified Nurse Assistant | Staff member whose records were reviewed for fingerprint background check and tuberculosis screening. |
| Staff H | Assistant Executive Administrator | Interviewed regarding tuberculosis screening and fingerprint background checks. |
| Staff K | Concierge | Interviewed regarding emergency preparedness responsibilities. |
Inspection Report
Life Safety
Deficiencies: 12
Oct 2, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at the Ballard Landmark Inn facility on 10/2/2023.
Findings
The inspection found multiple deficiencies related to fire safety, including blocked means of egress, missing semi-annual hood cleaning documentation, missing schedules and documentation for fire-rated construction inspections, issues with door operations, and missing testing and maintenance records for carbon monoxide alarms, power tests, and fire/smoke damper inspections.
Deficiencies (12)
| Description |
|---|
| Blocked egress by stairwell A outside of break room |
| Second Semi-Annual Hood Cleaning paperwork not provided |
| Facility needs to identify and establish a schedule for inspection of Fire-Rated construction within 30 days |
| Annual inspection of fire-resistance-rated construction needs to be performed and completed by end of 2023 |
| 3rd floor electrical room and 2nd floor electrical room penetrations not maintained |
| Multiple fire doors will not latch or close properly |
| Carbon Monoxide Alarms and Detectors testing, maintenance and documentation not provided |
| Annual 90 minute power test paperwork not provided |
| Monthly 30-minute full load test or Annual 4 hour load test paperwork not provided |
| Fire/smoke damper 4-year inspection paperwork not provided |
| Facility needs to identify and establish a schedule for inspection of Fire-Rated construction within 30 days (repeated) |
| Annual inspection of fire-resistance-rated construction needs to be performed and completed by end of 2023 (repeated) |
Report Facts
Inspection date: Oct 2, 2023
Next inspection scheduled on or after: Nov 1, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Van Gorkum | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Manis Condova | Owner or Authorized Representative who signed the report |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 1
Mar 30, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding a medication error involving a Named Resident who was given another resident's medication, resulting in hospitalization and other adverse effects.
Findings
The Assisted Living Facility failed to have a safe medication delivery system, which caused a medication error affecting Resident 1 and placed all 38 residents receiving medication assistance at risk. The facility was found non-compliant with medication service regulations and citations were written.
Complaint Details
The complaint involved a Named Resident hospitalized after a fall and medication error, including being given another resident's sedating medication, inability to have an MRI due to sedation, and lack of family notification about the medication error. The complaint was substantiated with failed provider practice and citations issued.
Deficiencies (1)
| Description |
|---|
| Failed to have a safe medication delivery system for all 38 residents receiving medication assistance, resulting in a medication error for Resident 1. |
Report Facts
Total residents: 45
Resident sample size: 4
Closed records sample size: 1
Residents at risk: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the on-site verification and investigation |
| Jamie Singer | Field Manager | Signed the compliance determination and plan of correction documents |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding medication delivery practices and family notification |
Inspection Report
Life Safety
Deficiencies: 16
Jan 17, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the Ballard Landmark Inn facility on 01/17/2023.
Findings
The facility was found to have multiple fire safety violations including failure to provide required emergency plan documentation, fire evacuation plans, maintenance and testing records for fire safety equipment, and documentation for fire extinguisher servicing and fire alarm system inspections. The facility was disapproved due to these deficiencies.
Deficiencies (16)
| Description |
|---|
| Facility failed to provide emergency plan book including actions to take and alarm sounding methods. |
| Facility failed to provide fire evacuation plans in the emergency plan book. |
| Facility failed to maintain electrical panels and outlets in the Marketing room. |
| Facility failed to provide documentation of semi-annual kitchen hood cleaning. |
| Facility failed to provide documentation showing fire walls are inspected and maintained. |
| Facility failed to provide documentation showing fire/smoke damper 4-year inspection. |
| Facility failed to provide documentation for sprinkler system annual inspection and three-year dry system test. |
| Facility failed to maintain sprinkler system; missing wrench and sprinkler heads covered in dust. |
| Facility failed to provide documentation showing kitchen suppression system technician certification. |
| Facility failed to provide documentation showing semi-annual servicing of kitchen suppression system. |
| Facility failed to provide documentation showing annual replacement of fusible links for kitchen suppression system. |
| Facility failed to provide documentation showing annual servicing of fire extinguishers. |
| Facility failed to provide documentation for fire alarm system annual inspection and monthly smoke alarm inspections. |
| Facility failed to maintain fire alarm system; currently in trouble mode. |
| Facility failed to provide documentation showing sensitivity test for smoke detectors. |
| Facility failed to provide documentation for emergency generator servicing and inspections. |
Report Facts
Next inspection scheduled: Feb 16, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Murcia | Deputy State Fire Marshal | Signed as inspector conducting the fire safety inspection |
| Manb Contrales | Maintenance Director | Signed as owner or authorized representative on last page |
| Neil Edwards | Signed as owner or owner's representative on first page |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Nov 4, 2022
Visit Reason
The Department completed a complaint investigation triggered by a complaint regarding a resident testing positive for Covid during weekly surveillance testing.
Findings
The facility had infection control, Covid-19 testing and reporting systems in place as required; however, it failed to update all fit tests for direct care staff and maintain complete records, placing residents, staff, and visitors at risk of infection.
Complaint Details
The named resident tested positive for Covid during weekly surveillance testing. The investigation found the facility did not meet Assisted Living Facility requirements due to incomplete mask fit testing for staff.
Deficiencies (1)
| Description |
|---|
| Failed to ensure care staff met the mask fit testing requirements of their Respiratory Protection Program. |
Report Facts
Total residents: 46
Resident sample size: 46
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the complaint investigation and provided consultation |
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